TABLE OF CONTENTS
DECLARATION.................................................................................................... i
DEDICATION....................................................................................................... ii
ACKNOWLEDGEMENT .................................................................................... iii
APPROVAL......................................................................................................... iv
LIST OF ACRONYMS ......................................................................................... v
DEFINITION OF OPERATIONAL TERMS ....................................................... vi
LIST OF FIGURES ............................................................................................. vii
ABSTRACT ......................................................................................................... xi
CHAPTER ONE.................................................................................................... 1
1.0 Introduction ..................................................................................................................................1
1.1 Background of the study ................................................................................................................1
1.2 Statement of the problem ...............................................................................................................2
1.3 Significance of the study................................................................................................................2
1. 4 Purpose.........................................................................................................................................2
1.5 Specific objectives........................................................................................................................3
1.6 Research Questions.......................................................................................................................3
Figure 1: Conceptual framework..........................................................................................................4
CHAPTER TWO: LITERATURE REVIEW......................................................... 5
2.0 Literature review............................................................................................................................5
CHAPTER THREE: METHODOLOGY ............................................................... 9
3.0 Introduction ...................................................................................................................................9
3. 1 Study Area....................................................................................................................................9
3.2 Study design ..................................................................................................................................9
3.3 Study population............................................................................................................................9
3. 4 Sample size determination........................................................................................................... 10
3.5 Inclusion criteria ......................................................................................................................... 10
3.6 Exclusion criteria ......................................................................................................................... 10
3.7 Sampling techniques.................................................................................................................... 10
3.8 Data collection............................................................................................................................ 10
3.9 Quality control............................................................................................................................. 10
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3. 10 Data analysis............................................................................................................................ 11
3. 11 Ethical considerations ............................................................................................................... 11
3. 12 Limitation................................................................................................................................. 11
3. 13 Dissemination of results............................................................................................................ 11
CHAPTER FOUR: RESULTS/ FINDINGS .........................................................12
4.0 Introduction ................................................................................................................................. 12
4.1 Bio data of respondents................................................................................................................ 12
4.1.1 Age of respondents................................................................................................................ 12
4.1.2 Sex of respondents ................................................................................................................ 12
4.1.3 Tribe of respondents.............................................................................................................. 13
4.1.4 Religion of respondents......................................................................................................... 13
4.1.5 Relation to patient ................................................................................................................. 14
4.1.6 Marital status of respondents................................................................................................. 14
4.1.7 Educational level of respondents ........................................................................................... 15
4.1.8 Number of people living with the patient............................................................................... 16
4.2 Patients’ biodata .......................................................................................................................... 16
4.2.1 Sex of the patient .................................................................................................................. 16
4.2.2 Educational level of the patient.............................................................................................. 17
4.2.3 Diagnosis of the patient......................................................................................................... 17
4.3 Knowledge .................................................................................................................................. 18
4.3.1 Hostility................................................................................................................................ 18
4.3.2 Emotional over-involvement ................................................................................................. 19
4.3.3 Criticism............................................................................................................................... 20
4.3.4 What about the patient do you find enjoyable?....................................................................... 21
4.3.5 What do you find most disturbing? ........................................................................................ 21
4.3.6Do you feel you need to do more for the patient with regard to his/her illness? ....................... 21
4.3.7 Do you think the doctors are doing enough for the patient?................................................... 21
CHAPTER FIVE ..................................................................................................22
5.0 Introduction ................................................................................................................................. 22
5. 1 Discusion.................................................................................................................................... 22
5.2 Conclusion................................................................................................................................... 26
5.3 Recomendations........................................................................................................................... 27
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REFERENCES .....................................................................................................29
APPENDIX I: WORK PLAN ...............................................................................31
APPENDIX II: BUDGET.....................................................................................32
APPENDIX III: ....................................................................................................33
Statement of consent.......................................................................................................................... 33
APPENDIX IV: QUESTIONNAIRE....................................................................34
APPENDIX V: MAP OF UGANDA ....................................................................36
APPENDIX VI: MAP OF BUSHENYI ................................................................37
APPENDIX VII: KREJCIE AND MORGAN TABLE .........................................38
ABSTRACT One of the main contributors to relapse in psychological disorders is high expressed emotion (H.E.E.), which is comprised of the critical, hostile, and emotionally over-involved attitude that caretakers have toward a patient with a mental illness. Caretakers with H.E.E. have been identified as a cause of relapse in psychological disorders. The stress from negative criticism and pity becomes a burden on the person with a disorder, and the only way to cope is relapse. Purpose: The study was conducted to assess the knowledge of caretakers of patients of mental illness on H.E.E. Methodology: The study was conducted at K.I.U. – T.H. with a cross-sectional design utilizing both qualitative and quantitative techniques, and a study population of the caretakers of the patients at K.I.U. – T.H. A sample of nighteen patients was used as this averaged the number of patients admitted in a month utilizing a consecutive sampling technique. Data was collected with aid of questionnaires that were translated into the local language (Runyankole) and later back translated to English and analyzed using statistical package for social sciences. Ethical considerations were also adhered to where respondents signed a consent form and were not coerced to participate. Results: The study revealed that the caretakers had little or no knowledge on H.E.E. and its effects on the recovery process of patients with mental illness. The highest indicator was the criticism with an average of 36.8% of the respondents found to express it in view of how they answered the questions. This was followed by both emotional over-involvement and hostility at 31.6% of the total respondents. Conclusion: H.E.E. is thriving among caretakers of the patients at K.I.U.T.H. There is need to correct this via education by the health workers who are consulted by the caretakers at K.I.U.T.H. Its effect on the recovery process have been well documented in causing higher rates of relapse in patients who have caretakers who have H.E.E.